Organization
J CHAPPELL MD PC
Active
Organization
J CHAPPELL MD PC
Active
Other names
Acworth Procedural Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAN L. CHAPPELL MD (AUTHORIZED REP/OWNER)
(678) 505-8030
Entity
Organization
Contact information
Practice address
4450 CALIBRE CROSSINGS, SUITE 1208, ACWORTH, GA 30101
(678) 505-8030
(678) 505-8263
Mailing address
4450 CALIBRE CROSSINGS, SUITE 1208, ACWORTH, GA 30101
(678) 505-8030
(678) 505-8263
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
11/07/2014
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